The Ultimate Clarity of a Master Physician

A superior physician treats before illness, a mediocre physician treats when illness is about to occur, and an inferior physician treats after illness has manifested!

Yu Zhiming (with a serio...

Chapter 256 I’m Afraid They’ll Think Too Much

Chapter 256 I’m Afraid They’ll Think Too Much

Yu Zhiming followed Teacher Qi Yue to a single room on the fourth floor and met the patient and his family.

The patient was a fat man with a round face, double chin and gray hair.

Yu Zhiming entered the ward, took two more steps, and took a last-minute glance at the patient information card hanging at the end of the bed.

Yang Yimin, male, 59 years old, with underlying diseases, diabetes, and stage 2 hypertension...

Just as Yu Zhiming wanted to take a second look to get a better understanding, Qi Yue's voice rang in his ears.

"Zhiming, please check Mr. Yang's body first."

Yu Zhiming quickly followed the instructions and began to give Yang Yimin a full-body examination.

In order to obtain more detailed physical information and make up for the mistake of forgetting to study the medical information before, Yu Zhiming conducted an extra careful examination this time.

After this examination, he not only understood the damage to the patient's brain, heart and other organs caused by underlying diseases such as hypertension and diabetes, but also made a major discovery.

However, this discovery cannot be made clear to the patients and their families for the time being.

After finishing the inspection, Yu Zhiming gave Teacher Qi a look that asked him to talk to her privately, and then stood aside.

Qi Yue received Yu Zhiming's gaze and felt speechless. He wanted to hold his forehead and sigh.

You guy, the expression of having made a major discovery is clearly written on your face. Do you think the patients and their families are blind?

Can’t you see that Mr. Yang can hardly lie down?

In this situation, Qi Yue couldn't just say a few perfunctory words and took Yu Zhiming back to the office to discuss in detail.

"Zhiming, if you have any findings, just tell us directly. As a doctor, there is no need to hide the patient's condition."

Qi Yue emphasized again: "If you find anything, tell us directly."

At this time, the patient Yang Yimin also asked his son to rock the bed so that he could sit or lie down.

Since the teacher said so, Yu Zhiming said frankly: "Mr. Yang, you have damage to many organs in your body. It is caused by the long-term effects of high blood pressure and diabetes."

"These injuries can be treated and controlled with medication."

"only……"

Seeing Yang Yimin's nervous expression, Yu Zhiming said, "Mr. Yang, this discovery of mine is just my personal feeling and may not be accurate. Don't take it too seriously..."

Qi Yue interrupted rudely, "Zhiming, just tell me what you found, don't be so long-winded."

Yu Zhiming uttered an "oh" and once again met Yang Yimin's worried gaze, saying, "Mr. Yang, your heart is feeling a bit heavy. I feel like it's about to give up..."

His words suddenly made the atmosphere in the ward solemn.

Yang Yimin involuntarily reached out and grabbed his left chest, and asked with a trembling voice: "Doctor Yu, am I going to have cardiac arrest?"

Yu Zhiming considered and said, "Personally, I think exhaustion is a more appropriate way to describe it."

The word "exhaustion" made Qi Yue's heart sink.

Although cardiac arrest is extremely dangerous, as long as you can get through it, treat the disease if you have one, and rest well, basically there will be no serious problem.

However, there is currently no effective treatment for heart failure.

Yang Yimin's high blood pressure and diabetes are not good for the heart and can easily lead to heart failure.

His condition was well controlled before, but now that Yu Zhiming has said this, it seems that heart failure is inevitable.

Just from the performance of Yu Zhiming, Qi Yue could conclude that this heart failure was not ordinary heart failure.

Regarding Yang Yimin's physical condition...

Qi Yue shook his head secretly, and saw Yang Yimin, whose face turned pale, looking at him.

He quickly comforted him, saying, "Mr. Yang, Dr. Yu's findings may not be accurate."

"Judging from your current heart examination data, your heart is still healthy and the problem is under control."

"Well, I'll transfer you to the intensive care unit and monitor your heart function 24 hours a day."

"Today, I will also invite cardiologist Dr. Wang Chunyuan to come over for a consultation with you..."

Next, there was a flurry of activity, including arranging preventive treatment for Yang Yimin's heart failure...

After 9:30 in the morning, Qi Yue, after inspecting the ward, took Yu Zhiming back to the director's office.

"Zhiming, you are no longer the same as before. Almost everyone knows that your detection skills are unparalleled."

Qi Yue taught with a serious face: "When you are doing a physical examination, the patient and their family members will stare at you."

"You must learn to manage your facial expressions, keep everything to yourself, and don't let your facial expressions change and reveal your discoveries."

Yu Zhiming said with some embarrassment: "Teacher, when I examine a patient, I need to devote my body and mind."

"When I discover something, it might show up unconsciously on my face."

Qi Yue hummed softly, "Practice more. If it doesn't work, go sign up for an acting training class."

Yu Zhiming curled his lips slightly.

Qi Yue glared and warned, "Zhiming, don't think this is a trivial matter that is not worth mentioning."

"Let me tell you, five years ago, a chief physician in the neurology department sighed while looking at an X-ray in an outpatient clinic, causing a patient to have a heart attack. The patient ultimately died despite medical efforts."

"The doctor sighed simply because he was too tired, not because he found any major problems in the patient's X-ray."

Qi Yue noticed the doubt on Yu Zhiming's face and said, "This incident actually happened. If you don't believe it, you can ask other doctors."

"At that time, an arbitration was conducted to determine the division of responsibilities, and our hospital ultimately assumed 30% of the responsibility."

Qi Yue picked up the thermos, unscrewed the lid and took a sip of water, then continued, "Many of the patients who come to our hospital for treatment are seriously ill."

"They are already physically weak, and on top of that, they are highly stressed. If you give them another sudden stimulus, the probability of problems arising is still quite high."

Yu Zhiming restrained his casualness and said seriously, "Teacher, I will pay attention to managing my expression."

Qi Yue hummed.

After a pause, he criticized again, "Zhiming, you're well-known now. If you really have a discovery, don't start by saying things like, 'I don't feel good about it, it's just my personal feeling, it may not be accurate,' or something like that. It makes you seem unconfident."

"A famous doctor wants to make a final decision and give patients unwavering confidence in the diagnosis."

Yu Zhiming said with an embarrassed look: "Teacher, there are many tests, and I really only have feelings, I can't say anything."

Qi Yue gave him a sidelong glance of disdain.

"The question is, your feelings have all been correct so far, so why don't you have confidence in your feelings?"

"You still consider yourself a young doctor who needs to learn and improve, not a famous doctor."

"In the final analysis, you still lack confidence and courage."

Yu Zhiming chuckled and said, "Teacher, to be honest, I am just a young doctor who needs to keep learning and accumulating knowledge."

He didn't want to continue the topic, so he asked, "Teacher, is Mr. Yang suffering from heart failure?"

Qi Yue sighed softly, "Since you haven't missed it yet, his heart failure should be unavoidable."

"Wait for Doctor Wang to come and discuss countermeasures. I hope the outbreak isn't too serious..."

Yu Zhiming returned to the large office and unexpectedly found a chubby, well-dressed middle-aged man waiting for him.

The middle-aged man quickly introduced himself and said, "Doctor Yu, I'm Zhou Yang. Last night at the massage center, you specifically reminded me that I had liver problems."

Yu Zhiming recognized the guy and said with a smile, "Oh, it's you. I couldn't recognize you after you put on this outfit."

"Your liver?"

Zhou Yang bowed and said, "Thanks to your reminder, Doctor Yu. I rushed to the hospital for a checkup last night."

"The results came out this morning."

"The doctor said it's a liver cyst. It's quite large and showing signs of worsening inflammation. It requires surgery."

"Doctor Yu, I came here to thank you, but now I have to go back to the hospital to prepare for surgery."

Yu Zhiming said, "Liver cysts aren't a big problem. You don't need to worry too much."

Zhou Yang nodded and said, "The doctor who examined me said there were signs of inflammation. If we delay treatment for a while, and the inflammation spreads more severely, it will be hard to say for sure."

"In short, Dr. Yu, I will always remember your kindness in reminding me. This is my little token of my appreciation..."

As he said this, Zhou Yang bent down and picked up several gift boxes.

Yu Zhiming naturally declined the offer.

While the two were pushing and shoving each other, a young nurse came running over.

"Doctor Yu, a patient named Yang in the intensive care unit has experienced a sudden heart failure and is in critical condition."

Damn, this happened too fast.

"Zhou Mo, please receive Mr. Zhou for me!" Yu Zhiming instructed Zhou Mo and rushed out of the big office.

When he arrived at the intensive care unit on the third floor, he saw Teacher Qi Yue and Doctor Xie Jianmin performing emergency treatment on the patient.

Yu Zhiming did not go in.

If it is first aid for trauma, Yu Zhiming will step forward to take over without hesitation.

However, when it comes to acute heart failure, Yu Zhiming knew his own limitations and decided not to cause trouble.

Just stay outside and watch and listen.

After more than half an hour of rescue, Yang Yimin's condition stabilized and he was sent to the ICU.

Qi Yue told Yang Yimin's family.

Yang Yimin is suffering from severe acute heart failure and currently needs the assistance of equipment to maintain vital signs.

The only effective treatment is a heart transplant.

However, given that Yang Yimin has long suffered from diabetes and hypertension, he does not meet the conditions for a heart transplant.

Under the current circumstances, Yang Yimin will not be able to hold on for long.

Qi Yue suggested that family members spend more time with the patient...

When Qi Yue informed the family about the patient's condition, Yu Zhiming hid aside, trying to minimize his presence.

He followed Qi Yue back to the director's office and said with a chuckle, "Teacher, he suffered an acute heart failure. Was it me who told him that?"

Qi Yue snorted softly, "If you have the ability to make your words come true, you're not a doctor, you're a god."

After a pause, Qi Yue sighed softly, "Diabetes and high blood pressure are both very bad for the heart. You just discovered the signs of heart failure in advance."

"You can't confuse cause and effect because your discovery of heart failure caused his heart failure."

"Don't think too much."

Yu Zhiming smiled and said, "Teacher, I certainly won't think too much about it. I'm just worried that the patients and their families might think too much..."

When Yu Zhiming returned to the big office again, he saw that Zhou Yang, who came to express his gratitude, had already left.

Zhou Mo reported, "Doctor Yu, I left a fruit basket and a box of wild honey for you."

Yu Zhiming nodded, indicating that he understood.

Zhou Mo then asked, "Doctor Yu, what about the schedule for the physical examination we discussed on the rooftop the night before yesterday?"

Yu Zhiming thought for a moment and said, "Tomorrow night..."

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(End of this chapter)